Organization
CALIFORNIA INSTITUTE OF NEUROPSYCHIATRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA MURAVYEVA (ADMINISTRATIVE DIRECTOR)
(805) 795-7656
Entity
Organization
Contact information
Practice address
2100 LYNN RD STE 120, THOUSAND OAKS, CA 91360-8033
(805) 795-7656
(805) 618-1501
Mailing address
3435 E THOUSAND OAKS BLVD UNIT 3789, WESTLAKE VILLAGE, CA 91359-7930
(805) 795-7656
(805) 618-1501
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629057393
—
CA
Enumeration date
05/04/2018
Last updated
05/04/2018
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